Mere walks up to Lexie in the ER and initiates a conversation for the first time since Lexie arrived, saying she's filling in, and then asks how it's going. Lexie declares, "I just pulled a splinter out of a guy's toe, and now I'm writing about it." It's the stuff dreams are made of. Mere says okay. "If you have any questions..." Lexie tells her she's got a lot, but none are about the splinter. Meredith actually sounds like she might be willing to answer, but is saved by the paramedics rushing in with a car accident victim. He's got no vital signs, and they couldn't intubate. Mere asks how long he's been down. She then calls Lexie over and asks if she knows how to do the procedure. Lexie's only seen it done and is clearly terrified, but Meredith tells her to do it now. She calmly talks Lexie through it while Lexie panics that she can't. Meredith tells her that she can, as Nameless Victim continues to go downhill.

Lexie stares at now-dead Nameless Victim. Meredith tells her it wasn't bad for her first try, and Lexie thinks it's a joke, since he died. Meredith tells her that the guy was dead on the scene, and when Lexie insists he was brought in for them to save him, Mere corrects her that he was brought in because legally the paramedics have to do so. Lexie is appalled that she seems to not care at all, and at Meredith's insistence that they did everything they could do, Lexie demands, "What kind of doctor are you?" A dark and twisty one, Lex, haven't you heard? Meredith counters to ask what all of this is about. They stare-off, and Mere tells Lexie that if she doesn't want to learn from her, she should go to the clinic.

George has a bunch of pictures propped up. My thought process went something like, "What is that? That sure is weird formatti-- AAAAAAUGH those are tongues! Not attached to anything!" They're going to have to start running vomit warnings for people like me who tend to eat dinner while they're watching. He's researching the surgery, which is a perfect time for Izzie to plop down next to him and explain how Charlie's giving her a hard time and saying George isn't going to leave Callie, but that's totally not true, right? Right? She says that they're in it together, and that he's going to tell Callie tonight. After a moment waiting for confirmation that doesn't come, she says his name and George just turns to tell her he's got research to do. She freaks out that he's not going to do it, and he calmly and very exasperatedly points out that, yesterday, she didn't want him to say anything. Izzie gets mad, and storms out. I really think she's become one of the most hateable, unwatchable characters currently on television.